Jonathan Bolton (NPI# 1053329466, PAC ID# 9436154580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1053329466 |
| PAC ID by PECOS | 9436154580 |
| Professional Enrollment ID | I20120425000147 |
| Full Name | Jonathan Bolton |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Address |
245 Terracina Blvd Suite 102 Redlands CA 92373-4865 |
| Phone Number | 9097929737 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0547164295 |
| Number of Group Practice Members | 281 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290032 | NORTHERN NEVADA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 245 Terracina Blvd, Suite 102, Redlands, CA 92373-4865 | 9097929737 | BEAVER MEDICAL GROUP, L.P. |
| 2375 E Prater Way, Sparks, NV 89434-9641 | 7753317000 | SOUND PHYSICIANS EMERGENCY MEDICINE OF NEVADA BESSLER PLLC |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Tyler | Physician Assistant | Beaver Medical Group, L.p. | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 |
| Prince C Esiobu | Vascular Surgery | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 202, Redlands, CA 92373-4867 |
| Madeline R Deutsch | Hospitalist | Beaver Medical Group, L.p. | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Mi La Kim | Nurse Practitioner | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Katrina Carter | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Chad J Brockardt | Orthopedic Surgery | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Tonya Ann Yoney | Family Medicine | Beaver Medical Group, L.p. | 5957 W Ramsey St, Banning, CA 92220-3058 |
| Edmund Ko | Urology | Beaver Medical Group, L.p. | 6109 W Ramsey St, Banning, CA 92220-3051 |
| Glen R Gaerte | Optometry | Beaver Medical Group, L.p. | 1300 E Cooley Dr, Colton, CA 92324-3905 |
| Michael G Leong | Family Medicine | Beaver Medical Group, L.p. | 7223 Church St C, Highland, CA 92346-5816 |
| Street Address |
245 TERRACINA BLVD SUITE 102 |
| City | REDLANDS |
| State | CA |
| Zip | 92373-4865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prince C Esiobu | Vascular Surgery | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 202, Redlands, CA 92373-4867 |
| Justin Wood | Physical Therapy | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 105, Redlands, CA 92373-4879 |
| Jennifer Northcutt | Physical Therapy | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 105, Redlands, CA 92373-4879 |
| Celina Shelton | Physical Therapy | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 105, Redlands, CA 92373-4879 |
| Cassi L Sommerville | Physical Therapy | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 102, Redlands, CA 92373-4865 |
| Charles Yoh | General Surgery | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 202, Redlands, CA 92373-4867 |
| James Wiley | Physician Assistant | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 202, Redlands, CA 92373-4867 |
| D'hahn House | Physical Therapy | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 102, Redlands, CA 92373-4865 |
| Michael Thomas Mendoza | Physical Therapy | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 105, Redlands, CA 92373-4879 |
| Rachael Suzanne Tennant | Family Medicine | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 102, Redlands, CA 92373-4865 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William G Roth | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Maria A Arellano Piedra | Psychologist, Clinical | Loma Linda University Behavioral Medicine Center, Inc. | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Esther R Youngman | Clinical Social Worker | Loma Linda University Behavioral Medicine Center, Inc. | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Cameron J Johnson | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Roger Wenger | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| William Murdoch | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Melissa J Pereau | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Pharez Dishon Rolle | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Loren C King | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Adam Lapree Arechiga | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Find all physicians in zip 92373 | |||
| City | REDLANDS |
| Zip Code | 92373 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | REDLANDS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jonathan Bolton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.